Liver disease undergo laparoscopic liver surgery, comparison postoperative analgesia (morphine consumption) Liver resection, liver surgery
Conditions
Interventions
ASA Stardard monitoring
Spinal anesthesia with 0.5% isobaric Marcaine 2 ml and sterile normal saline 2 ml (total 4 ml) with morphine 0.2 mg
General anesthesia with Desflurane:O2:air, propofol, cisat
ITM,IV-PCA
Sponsors
King Chulalongkorn Memorial hospital
Eligibility
Sex/Gender
All
Age
18 Years to 70 Years
Inclusion criteria
Inclusion criteria: Patient who was scheduled for laparoscopic liver resection with specialty hepatobiliary surgeon with general anesthesia at King Chulalongkorn Memorial Hospital, and American Society of Anesthesiology Physical Status (ASA) I-III
Exclusion criteria
Exclusion criteria: 1.Refuse to participate this study 2.Allergy to any drug in this study 3.Serious diseases other than liver diseases, such as cardiovascular, respiratory or endocrine system conditions 4.Contraindication for spinal anesthesia 5.Taking chronic sedatives drug and opioid - alcoholics or drug abuse 6.Psychaitic problems 7.Abody mass index (BMI) >= 30 kg/m 2 8.History of malignant hyperthermia 9.Cannot use PCA (Patient controlled analgesia)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative morphine consumption At 12 hours after intervention Morphine consumption | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative morphine consumption At 24,36, and 48 hours after intervention Morphine consumption,Postoperative Pain at 12, 24, 36, and 48 hour At 12,24,36, and 48 hour after intervention Numeric rating scale,Incident postoperative shoulder pain At PACU Shoulder pain (Yes/No),Patient Satisfaction At 48 postoperative Patient Satisfaction Score,Surgical bleeding End of operation Bleeding (ml) | — |
Countries
Thailand
Contacts
Public ContactKirada Apisutimaitri
Faculty of medicine, Chulalongkorn University
Outcome results
None listed